SUTTER BAY MEDICAL FOUNDATION NPI 1528512688

NPI Information

  • NPI: 1528512688
  • Provider Name: SUTTER BAY MEDICAL FOUNDATION
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: SUTTER PACIFIC MEDICAL FOUNDATION
  • CLIA Number: 05D2176822
  • Address: 3883 AIRWAY DR
    SUITE 120
    SANTA ROSA, CA
    ZIP 95403
  • Phone: (707) 521-8966

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NPI Details

SUTTER BAY MEDICAL FOUNDATION is a family medicine in Santa Rosa, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUTTER BAY MEDICAL FOUNDATION NPI is 1528512688. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sutter Pacific Medical Foundation.

The provider's business location address is:

3883 AIRWAY DR
SUITE 120
SANTA ROSA, CA
ZIP 95403-670
Phone: (707) 521-8966
Fax: (707) 523-1301

The provider's authorized official is Krista Lopes .
The authorized official title is Sh Vp, Quality, Safety, Patient Edu and has the following contact phone number (916) 384-7544.

The CLIA number assigned to this NPI record is 05D2176822 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/6/2016 and was last updated on 10/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineNo
2207Q00000XFamily MedicineYes
3207R00000XInternal MedicineNo
4207V00000XObstetrics & GynecologyNo
5207X00000XOrthopaedic SurgeryNo
6208000000XPediatricsNo
7208600000XSurgeryNo
8208D00000XGeneral PracticeNo
9213E00000XPodiatristNo
10225100000XPhysical TherapistNo
11247100000XRadiologic TechnologistNo
12291U00000XClinical Medical LaboratoryNo
13363A00000XPhysician AssistantNo
14363L00000XNurse PractitionerNo
15367A00000XAdvanced Practice MidwifeNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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